超声评估收肌管阻滞的准确位置  

The Evaluation for Location of Adductor Canal Block By Ultrasound

作　　者：王春光[1] 高磊[2] 马文海[3] 祁辉[3] 马永利[1] 李庆辉[1] Wang Chunguang;Gao Lei;Ma Wenhai;Qi Hui;Ma Yongli;Li Qinghui(Department of Anesthesiology,the First Center Hospital of Baoding,Baoding,Hebei 071000,China)

机构地区：[1]保定市第一中心医院麻醉科,河北省保定市071000 [2]保定市第一中心医院超声科,河北省保定市071000 [3]保定市第一中心医院骨科,河北省保定市071000

出　　处：《中国超声医学杂志》2019年第4期362-365,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的通过超声评估收肌管阻滞的准确位置。方法择期非下肢手术患者190例,用超声扫描大腿内侧腹股沟至髌骨上缘的解剖结构,辨别并标记股三角、收肌管(AC)、收肌管起点(BAC)及收肌管终点(TAC)的位置,标记髌骨上缘、股骨大转子、髂前上棘、髂前上棘到髌骨上缘中点(MT)及股骨大转子到髌骨上缘中点(HT),测量髌骨上缘至MT、HT、BAC、TAC的距离及AC的长度。结果所有受试者股三角、BAC及TAC超声图像均清楚显示。190例受试者BAC均位于MT远端,182例受试者BAC位于HT近端,8例受试者BAC位于HT远端。结论通过190例受试者,超声影像中髂前上棘与髌骨上缘连线中点位于股三角内,准确的收肌管阻滞穿刺位置应位于股骨大转子与髌骨上缘连线中点水平。Objective To discuss the accurate location for adductor canal block by ultrasound.Methods 190 patients with non-lower extremity surgery were scanned anatomic structure of thigh using ultrasound from the anterior superior iliac spine to the base of patella.The femoral triangle(FT),adductor canal(AC),beginning of adductor canal(BAC)and terminal point of adductor canal(TAC)were identified and marked.The base of patella,the greater trochanter,the anterior superior iliac spine,the midpoint of the anterior superior iliac spine and the patella(MT)and the midpoint of the greater trochanter and the patella(HT)were marked.The distances from the base of patella to MT,HT,BAC,TAC and the length of AC were measured.Results The FT,BAC and TAC were identified in all subjects using ultrasound.The location of BAC was distal to MT in all subjects.The location of BAC was proximal to HT in 182 subjects and distal to HT in 8 subjects.Conclusions In this study of 190 subjects,MT was in the femoral triangle and BAC was distal to MT.The accurate puncture location for adductor canal block using ultrasound was in the level of HT.

关 键 词：超声检查 神经传导阻滞 收肌管 位置 

分 类 号：R445.1[医药卫生—影像医学与核医学] R614[医药卫生—诊断学]